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Individual
DR. RAUL VAZQUEZ
Active
Individual
DR. RAUL VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1850521
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030011001
UNIVERA HEALTHCARE
NY
01
—
0108003
INDEPENDENT HEALTH ASSOC.
NY
05
—
01359017
—
NY
Enumeration date
05/04/2006
Last updated
02/07/2008
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